SKYLOTEC SECUPIN SPA-TYP-6-L Instructions D'utilisation page 27

11. INSTALLATION AND FINAL ACCEPTANCE PROTOCOL FOR
ANCHOR POINTS
(part 2 must be sent to the system manufacturer!)
Building / site
Address:
Remarks:
Client
Name:
Address:
Installer
Name:
Address:
Anchoring device
Manufacturer:
Model/type designation:
Serial numbers:
Building part
Component 1:
Component 2:
Construction material:
Type of fastening
□
Anchor plug: Injection anchor:
□
Machine tool screws:
Setting data: Bore Ø:
Bore depth:
Tightening torque:
Effect. Situation: Edge distance:
Centre distance :
Remarks:

Drilling method:


Test device:
MAT-MA-0019-EN SECUPIN
□
Screw anchor:
mm
mm
Nm
Cx:
Sx:
Rotary hammer
Diamond drill
Torque wrench
23/01/2015
Order no.:
Type of building:
Type of roof:
Anchoring device:
Contact person:
Tel.:
Fitter:
Tel.:
Minimum component thickness:
Minimum component thickness:
Quality:
□
Clamp connection:
Material:
Minimum component thickness:
Cy:
Sy:

Drill holes cleaned

Hammer drill

System

□
Example:
If necessary use.
another sheet

yes no

yes no

wet dry

yes no
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